Cost of a ER Visit (Low) Visit
in Hawaii
Reviewed by Momentary Medical Group West PC
Hawaii's isolated island healthcare system creates unique cost dynamics for ER Visit (Low) services, with limited provider networks and higher operational expenses than the mainland. Based on negotiated insurance rates from 175 active providers across the state, patients typically pay between $54 and $139 for low-severity emergency room visits, with a median cost of $66. Hawaii maintains robust emergency care access despite its geographic challenges, allowing patients to browse providers across all major islands for the most cost-effective care options.
Average
$87
Median
$66
Lowest
$54
Highest
$139
Providers
175
8% below national average
Compare Similar Procedures
How does er visit (low severity) compare to related procedures in Hawaii?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $80 | $93 | $217 | 178 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $145 | $313 | 201 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99283 — Emergency department visit, low to moderate severity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99283 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99283 (Emergency department visit, low to moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99283 covers: the provider's professional fee for er visit (low severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Why ER Visit (Low) Visit Costs Vary Across Hawaii
Hawaii's healthcare costs run approximately 16% above national averages, driven by the state's isolated island geography and limited provider competition. The concentrated insurance market with HMSA, UHC, and Kaiser creates unique negotiation dynamics compared to mainland markets.
Urban vs. Rural Provider Availability
Oahu's urban corridor around Honolulu offers multiple emergency departments within short distances, while outer islands like Molokai and Lanai have extremely limited options. Patients on neighbor islands sometimes require air transport to Oahu for specialized emergency care. This geographic disparity creates significant cost and access variations across the state.
Facility Type and Overhead Costs
Hospital-based emergency departments in Hawaii face higher operational costs due to shipping expenses for medical supplies and equipment. Independent urgent care centers offer lower-cost alternatives for minor emergencies but have limited capabilities. Major health systems like Kaiser Permanente and Hawaii Pacific Health dominate the market with integrated delivery models.
Insurance Market Competition in Hawaii
The limited presence of just three major insurers (HMSA, UHC, Kaiser) creates less competitive pressure on negotiated rates compared to mainland markets. HMSA's dominant market position as the Blue Cross Blue Shield affiliate gives it significant negotiating power with providers. This concentration can lead to higher negotiated rates but also more standardized pricing across facilities.
Physician Supply and Demand in Hawaii
With 175 active emergency medicine providers serving Hawaii's population, the state maintains adequate coverage in urban areas but faces shortages on outer islands. This provider distribution contributes to cost variations, with rural facilities commanding higher rates due to limited competition. Recruiting mainland physicians to Hawaii requires premium compensation due to the high cost of living and geographic isolation.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — ER Visit (Low) Costs in Hawaii
What is the average cost of a ER Visit (Low) visit in Hawaii without insurance?
Does Hawaii Medicaid cover ER Visit (Low) visits?
How do I find an affordable ER Visit (Low) near me in Hawaii?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (Low) visit in Hawaii?
How does telemedicine affect the cost of seeing a ER Visit (Low) in Hawaii?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99283)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Pennsylvania Range: $47 – $693 | $271 |
| 2 | Wisconsin Range: $56 – $355 | $180 |
| 3 | Illinois Range: $57 – $252 | $133 |
| 4 | Maine Range: $86 – $184 | $131 |
| 5 | New Hampshire Range: $59 – $204 | $130 |
| 6 | Michigan Range: $54 – $252 | $126 |
| 7 | Iowa Range: $44 – $218 | $119 |
| 8 | Rhode Island Range: $40 – $204 | $111 |
| 9 | California Range: $80 – $153 | $107 |
| 10 | Vermont Range: $53 – $171 | $107 |
| 11 | Indiana Range: $57 – $171 | $105 |
| 12 | New York Range: $47 – $202 | $105 |
| 13 | Washington Range: $57 – $167 | $101 |
| 14 | Colorado Range: $54 – $159 | $99 |
| 15 | Wyoming Range: $54 – $155 | $97 |
| 16 | Idaho Range: $60 – $142 | $96 |
| 17 | Nebraska Range: $44 – $171 | $95 |
| 18 | Massachusetts Range: $40 – $206 | $95 |
| 19 | Utah Range: $53 – $139 | $93 |
| 20 | District of Columbia Range: $49 – $142 | $92 |
| 21 | Maryland Range: $43 – $162 | $91 |
| 22 | Connecticut Range: $53 – $153 | $90 |
| 23 | Georgia Range: $53 – $143 | $90 |
| 24 | Alaska Range: $69 – $118 | $89 |
| 25 | New Mexico Range: $54 – $139 | $88 |
| 26 | Kentucky Range: $40 – $139 | $88 |
| 27 | Hawaii Range: $54 – $139 | $87 |
| 28 | Texas Range: $54 – $118 | $86 |
| 29 | North Carolina Range: $51 – $136 | $85 |
| 30 | New Jersey Range: $44 – $142 | $84 |
| 31 | South Carolina Range: $51 – $128 | $83 |
| 32 | Arkansas Range: $51 – $115 | $81 |
| 33 | Nevada Range: $60 – $108 | $81 |
| 34 | Alabama Range: $49 – $131 | $80 |
| 35 | Virginia Range: $47 – $119 | $79 |
| 36 | Arizona Range: $53 – $107 | $77 |
| 37 | Ohio Range: $43 – $117 | $77 |
| 38 | Minnesota Range: $40 – $145 | $75 |
| 39 | Tennessee Range: $51 – $105 | $75 |
| 40 | Oklahoma Range: $51 – $104 | $75 |
| 41 | Delaware Range: $60 – $90 | $74 |
| 42 | Missouri Range: $52 – $99 | $74 |
| 43 | Mississippi Range: $51 – $104 | $73 |
| 44 | Montana Range: $40 – $91 | $70 |
| 45 | Kansas Range: $51 – $91 | $70 |
| 46 | Florida Range: $35 – $110 | $67 |
| 47 | West Virginia Range: $40 – $115 | $65 |
| 48 | Louisiana Range: $40 – $87 | $63 |
| 49 | Oregon Range: $40 – $108 | $63 |
| 50 | North Dakota Range: $40 – $91 | $57 |
| 51 | South Dakota Range: $40 – $88 | $56 |